HAZEL LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020250

License Status

NOT RENEWED

Business

First Name

HAZEL

Last Name

LONG

Business Name

HAZEL LONG

Original Issue Date

06/28/1967

Expiration Date

05/01/1982

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005